Organization
SHERRY NANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL S. LEECH SR. (INSURANCE COORDINATOR)
(901) 685-7227
Entity
Organization
Contact information
Practice address
4646 E GREENWAY RD, SUITE 110, PHOENIX, AZ 85032-4805
(602) 923-6750
(602) 923-6804
Mailing address
4646 E GREENWAY RD, SUITE 110, PHOENIX, AZ 85032-4805
(602) 923-6750
(602) 923-6804
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7169A
AZ
Other
Enumeration date
12/20/2006
Last updated
08/22/2020
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